AMY KATHLEEN ULRICH CRNA
NPI 1639492655
Nurse Anesthetist, Certified Registered in Peoria, IL

Q: What is Amy Ulrich's NPI number?

The NPI number for Amy Ulrich is 1639492655. It was assigned to this individual provider in the NPPES registry on March 4, 2010. The provider is also known as Amy Kathleen Guy.

Q: What is Amy Ulrich's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Ulrich was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 04, 2010PECOS EnrolledAccepts Medicare Assignment

7309 N KNOXVILLE AVE, PEORIA, IL 61614(217) 528-7541 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2025, Apr 1, 2024 (2 updates tracked since 2024).

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About Amy Kathleen Ulrich Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY KATHLEEN ULRICH CRNA (NPI 1639492655) is an individual nurse anesthetist, certified registered in Peoria, Illinois, licensed in Illinois (209008371) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1639492655

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameAMY KATHLEEN ULRICHCredential: CRNA

Location Address7309 N KNOXVILLE AVEPeoria, IL 61614-2085

Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541

Phone(217) 528-7541

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMarch 4, 2010

Last NPPES UpdateMay 28, 20252 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1639492655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in IL · 209008371✔ Licensed in MO · 082688

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

7309 N KNOXVILLE AVE, Peoria, IL 61614

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Other Names 1

Former Name (1)Amy Kathleen Guy

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Kathleen Ulrich Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456481571

PECOS Enrollment IDI20120613000548

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Amy Ulrich reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Associated Anesthesiologists, S.C.

3.0 mi

Anesthesiology

6742 N FROSTWOOD PKWY
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Associated Anesthesiologists Sc
337 clinicians in this Medicare group

NPI 1558306480 (309) 692-5393

Osf Healthcare System

36 mi

Rural Health

1051 W SOUTH ST
Kewanee, IL 61443

Reassigned Medicare billing, Illinois enrollment
183 clinicians in this Medicare group

NPI 1427475177 (309) 852-7700

North American Partners In Anesthesia (illinois), LLC

67 mi

Anesthesiology

800 E CARPENTER ST
Springfield, IL 62769

Reassigned Medicare billing, Illinois enrollment
826 clinicians in this Medicare group

NPI 1699032524 (630) 990-9729

Springfield Clinic, LLP

68 mi

Multi-Specialty

1025 S 6TH ST
Springfield, IL 62703

Reassigned Medicare billing, Illinois enrollment
735 clinicians in this Medicare group

NPI 1780638478 (217) 528-7541

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

17 services16 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140162

Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROB WIMMER P.A.

Physician Assistant (Surgical)